| 引用本文：滕佳利, 宋桂杭, 李倩, 劳颖谦, 韩优莉.基于DIP的医保服务质量评价指标体系的构建与应用——基于德尔菲法和层次分析法[J].中国卫生政策研究,2023,16(2):29-35 |
|
| 基于DIP的医保服务质量评价指标体系的构建与应用——基于德尔菲法和层次分析法 |
| 投稿时间：2022-11-10 修订日期：2023-02-05 PDF全文浏览 HTML全文浏览 |
| 滕佳利1, 宋桂杭2, 李倩1, 劳颖谦3, 韩优莉1 |
1. 首都医科大学公共卫生学院 北京 100069;
2. 甘肃省医疗保障局 甘肃兰州 730030;
3. 桂林医学院第二附属医院 广西桂林 541199 |
| 摘要:目的：构建医疗机构角度的基于DIP的医保服务质量评价指标体系，以期为监测医疗机构医保服务质量提供工具和科学依据。方法：在研究框架基础上筛选指标库，运用德尔菲法确立评价指标体系(包括核心指标和监测指标)，采用层次分析法确定核心指标权重。结果：构建了基于DIP的医保服务质量评价指标体系，包括3个一级指标，9个二级指标，37个三级指标(含21个核心指标，16个监测指标)，专家积极系数、权威程度和意见协调程度均较好。结论：初步形成了一套基于DIP的医保服务质量评价指标体系，具有较好的科学性和合理性。将评价指标体系应用于DIP试点地区，明确了指标数据获取来源和应用方式，为基于DIP的医保服务质量评价指标体系的推广奠定基础。 |
| 关键词:按病种分值付费 医保服务质量 德尔菲法 层次分析法 |
| 基金项目:首都医科大学国家医疗保障研究院开放性课题(YB2021B07)；国家自然科学基金(71774113) |
|
| Study on the construction and application of evaluation index system assessing quality of medical insurance service based on DIP with Delphi method and AHP |
| TENG Jia-li1, SONG Gui-hang2, LI Qian1, LAO Ying-qian3, HAN You-li1 |
1. School of Public Health, Capital Medical University, Beijing 100069, China;
2. Gansu Healthcare Security Administration, Lanzhou Gansu 730030, China;
3. The Second Affiliated Hospital of Guilin Medical College, Guilin Guangxi 541199, China |
| Abstract:Objective: Based on DIP, this study aims at constructing an index system to evaluate quality of medical insurance service from the perspective of medical institutions, so as to provide a tool and a scientific reference for monitoring the quality of medical insurance service provided by medical institutions. Methods: We selected index database within the framework of research to establish an evaluation index system with Delphi method, including core indexes and monitoring indexes. Then weights of core indexes were assigned according to AHP. Results: This study established an evaluation index system about the quality of medical insurance service on the basis of DIP, including 3 primary indexes, 9 secondary indexes and 37 third-level indexes, among which,21 were core indexes and 16 were monitoring indexes. Also, experts' positive coefficient, level of authority and coordination of opinions were confirmed. Conclusion: The index system assessing the quality of medical insurance is preliminarily established on the basis on DIP with favorable scientific and rational senses. Application of the evaluation index system in DIP pilot areas clarifies the source of obtaining index data as well as means of apply them, which lays a foundation for further promotion of the index system in a wider range. |
| Key words:Diagnosis-Intervention Packet (DIP) Quality of medical insurance service Delphi method Analytic hierarchy process(AHP) |
| 摘要点击次数: 2239 全文下载次数: 630 |
|
|
